The risk factors and clinical significance of non-invasive examinations of female chest pain / 重庆医科大学学报

ABSTRACT

Objectives:Analyzed the risk factors and the value of non-invasive examinations in the diagnosis of cardiac heart disease. Methods: Retrospectively analyzed risk factors and the results of non-invasive examinations and coronary angiography in 81 female patients who admitted in our hospital from Jan,2003 to Jan,2007 with chest pain. Results:The average age of patients was 67.45?10.24. Total 50 cases were diagnosed as coronary heart disease and 31 cases were excluded. Among 50 cases of coronary heart disease,20 cases belonged to single-vessel disease(40%) and 30 cases belonged to 2-3 vessels disease(60%). The sensitivity of non-invasive examinations such as regular EKG,treadmill,Holtor,ultrasound of carotid artery and heart is 44%,74%,58%,76% and 40%, respectively. Specificity of those are 55%,65%,55%,52% and 81% respectively. Accuracy of those are 48%,70%,58%,67% and 56%. Conclusions:Among all the non-invasive examinations, ultrasound of carotid artery has the highest sensitivity followed by treadmill; echocardiography has the best specificity while treadmill has the best accuracy. Menopausal middle-aged and elderly population was more susceptible for female coronary heart disease. Perimenopausal population usually had low incidence unless the patient was accompanied by diabetes.Meanwhile,they usually had multiple-vessel disease.Patients with chest pain as well as hypertension,diabetes and hyperlipidemia should receive coronary angiography as soon as possible even without abnormality in non-invasive examinations.